Doctor Name: | ALISSA M GNOLFO |
NPI Number: | 1336582600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | F381858-1 |
Business Practice Address: | 701 Route 25a Suite B3 Mount Sinai, NY - 117662050 |
Business Phone Number: | 6314767676 |
Business Fax Number: | |
Mailing Address: | 701 Route 25a, Suite B3 MOUNT SINAI |
State: | NY |
Postal Code: | 117662050 |
Phone Number: | 6314767676 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2013 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F381858-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |